| Comparison of Transperitoneal
and Extraperitoneal Approach for Infrarenal Aortic Aneurysm Repair |
(First Department of Surgery, Asahikawa Medical
College, Asahikawa, Japan)
| Masae Haga |
Masashi Inaba |
Hiroshi Yamamoto |
| Nobuyuki Akasaka |
Hisashi Uchida |
Shigehisa Kawai |
| Katsuaki Magishi |
Tadahiro Sasajima |
|
|
| In the last decade, 78 patients
received operations for abdominal aortic aneurysms with a transperitoneal
approach (TP) while in 82 patients we used an extraperitoneal
approach (EP). Forty-two patients in the TP group and 40 in the
EP group who required no concurrent repair of the inferior mesenteric
artery, renal artery or lower extremity arteries were compared.
There was no difference between the two groups in mean operative
time, mean amount of intraoperative bleeding or mean amount of
required homologous blood transfusion. The mean interval after
surgery to beginning peroral alimentation and the mean duration
of postoperative fluid therapy were significantly shorter in
the EP group than in the TP group. An extraperitoneal approach
for abdominal aortic reconstruction is preferable for an early
postoperative recovery. Jpn. J. Cardiovasc. Surg. 29: 305-308
(2000) |
|
